A nurse is assessing a client following an amniocentesis. Which of the following findings should the nurse recognize as complications? (Select all that apply.)
Polyhydramnios
Preterm labor
Urinary tract infection
Amnionitis
Leakage of amniotic fluid.
Correct Answer : B,D,E
A. Polyhydramnios is not a complication of amniocentesis; it is a condition related to excess amniotic fluid.
B. Preterm labor can be triggered by the procedure due to uterine irritation or infection.
C. Urinary tract infection is unrelated to amniocentesis unless catheterization was performed, but it is not a direct complication.
D. Amnionitis (intra-amniotic infection) is a serious complication resulting from infection introduced during the procedure.
E. Leakage of amniotic fluid can occur if the amniotic sac is punctured improperly or does not seal properly after the procedure.
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Related Questions
Correct Answer is C
Explanation
A. Catheterization may be necessary if the client cannot void but is not the first step before ambulation.
B. Evaluating deep tendon reflexes is more relevant for clients receiving magnesium sulfate, not primarily for epidural assessment.
C. Assessing motor function of the lower extremities ensures the client has adequate strength and sensation to safely ambulate after an epidural.
D. Administering meperidine is for pain management and does not relate to safety before ambulation.
Correct Answer is B
Explanation
A. Decreasing IV infusion rate does not relieve umbilical cord prolapse.
B. Placing the client in a knee-chest position helps relieve pressure on the prolapsed umbilical cord, improving fetal oxygenation until delivery.
C. Instructing the client to push can worsen cord compression and is contraindicated.
D. The nurse should not attempt to replace the umbilical cord into the cervix; this is a sterile procedure typically performed by the provider.
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